A nurse is teaching a client who has major depressive disorder about what to expect when undergoing electroconvulsive therapy. Which of the following information should the nurse give the client?

A. Loss of central vision: While loss of central vision can occur with various eye conditions, such as age-related macular degeneration, it is not specific to cataracts. Cataracts typically cause clouding of the lens, leading to blurred or dimmed vision rather than loss of central vision.
B. Increased intraocular pressure: Increased intraocular pressure is characteristic of conditions such as glaucoma, not cataracts. Cataracts involve clouding of the lens rather than elevated pressure within the eye.
C. Decrease in peripheral vision: Decreased peripheral vision is associated with conditions like retinitis pigmentosa or glaucoma but is not a typical finding in cataracts. Cataracts primarily affect visual acuity and clarity rather than peripheral vision.
D. A bluish-white colored pupil: A bluish-white appearance of the pupil, known as leukocoria or a white pupil reflex, can be indicative of cataracts. It occurs due to light scattering by the cloudy lens of the eye, resulting in an abnormal reflection from the pupil. This finding is characteristic of cataracts and warrants further evaluation by an ophthalmologist.

Answer: C. Cleanse the client's meatus with antiseptic solution.

Rationale:

A. Lubricate the catheter with water-soluble gel:
While lubrication is an important step in the catheterization process, it is not the first action to take. Proper cleansing of the meatus is essential to minimize the risk of introducing bacteria into the urinary tract during the insertion of the catheter.

B. Position the sterile drape leaving the perineum exposed:
Setting up the sterile field is crucial, but the first priority should be to cleanse the meatus to prevent infection. The sterile drape should be positioned after ensuring the area is clean and before catheter insertion.

C. Cleanse the client's meatus with antiseptic solution:
This is the first action the nurse should take. Properly cleansing the meatus with antiseptic solution helps reduce the risk of urinary tract infections by eliminating bacteria from the area prior to catheter insertion. It is a critical step in maintaining aseptic technique during the procedure.

D. Attach a prefilled syringe to the catheter inflation hub:
Attaching the syringe for inflation is done after the catheter is inserted and positioned correctly. This action comes later in the procedure, once aseptic measures have been completed and the catheter is in place.